Organization
CARDIOLOGY CONSULTANTS PA OF CHARLESTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI A. CARPENTER (OFFICE MANAGER)
(843) 797-7700
Entity
Organization
Contact information
Practice address
9231 MEDICAL PLAZA DR STE A, CHARLESTON, SC 29406-9101
(843) 797-7700
(843) 797-1271
Mailing address
9231 MEDICAL PLAZA DR STE A, CHARLESTON, SC 29406-9101
(843) 797-7700
(843) 797-1271
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CL4601
RAILROAD MEDICARE
SC
05
—
PA4833
—
SC
Enumeration date
05/23/2006
Last updated
04/12/2012
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